Provider Demographics
NPI:1609868546
Name:MEYER, ANTHONY JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:JOHN
Last Name:MEYER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:515 MINOR AVE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2120
Mailing Address - Country:US
Mailing Address - Phone:206-386-9500
Mailing Address - Fax:206-386-9605
Practice Address - Street 1:515 MINOR AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2120
Practice Address - Country:US
Practice Address - Phone:206-386-9500
Practice Address - Fax:206-386-9605
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ27146207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0447780OtherBLUE CROSS BLUE SHIELD
AZP00330951OtherRAILROAD MEDICARE
AZ2Z9297OtherHEALTH NET
AZ5705879OtherFIRST HEALTH
AZ113738Medicaid
AZ5902492OtherCIGNA
AZ1609868546OtherAHCCCS
AZ2668790OtherUNITED HEALTHCARE
AZ7524807OtherAETNA
AZ188961600OtherDEPT OF LABOR WORK COMP
99S007000013OtherMEDISUN
AZ7524807OtherAETNA
AZI52877Medicare UPIN